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Terminology unit 2

difine the 50 abbr, acronyms,

Sx Symptons Subjective evidence of disease or physical disturbance
Hx History
Px An acronym for Physical Exam
Dx Abbreviation for Diagnosis
MEDCIN A medical, nomenclature and knowledge base developed by medicomp systems inc. It is incorporated in many commerical EHR systems
DM Diabetes Mellitus
RX Abbreviation for Therapy( including prescriptions)
HEENT An acronym for head, eyes, ears, nose, throat
HIT Acronym for health information technology also healthcare information technology
GI/GU Acronym for gastrointestinal/genitourinary
ROS Acronym for review of systems
Sig Instructions for labeling prescriptions
URI acronym for upper respiratory infection
CC Cheif complaint
HPI acronym for history of present illness
E/M evaluation and management codes
PFSH past history, family history, social history
CBC Complete blood count
EMR electronic medical record
MDM Medical decision making
NEC not elsewhere classified
NOS not otherwise spcified
OIG office of inspector general
Primary diagnosis main reason patient came to office
ENT ears, nose and throat
Dis apart
-blast immature cells, germ cells
-dynia pain
-ar pertaining to
bradykinesia slowness of motion or movement
neuromyopathic Pertaining to a disease, condition involving both nerves and muscles
myofibroma tumor that contains muscle and fiber
myoplasty surigcal repair of a muscle
tenodesis surgical binding of a tendon
massage kneading that applies pressure and friction to external body tissue
con- with, together
quadri- four
dacty/o finger and toes
-oid resemble
-ceps head
=ure process
combination codes a code from radiology section as well as a code from one of the other sections. must be used to fully describe the procedure
multiple coding also known as dual coding. use of more than one icd-9-cm code to identify both etiology and manifestopn of a disease
morphology code the science of the form and structure of organisms
neoplasm new tumor growth that can be benign or malignant
in situ malignancy that is within the orignal site of development and has not invaded neighboring tissue
benign not progressive
malignant used to describe cancerous tumor
malignant hypertension Accelerated severe form of hypertension, Manifested by headaches, blurred vision, dyspena and uremia usally cause permanment + organ damage
Created by: moviegrl